Provider Demographics
NPI:1710225404
Name:SALCEDO, ADRIANA I (MSW/LICSW/MPH)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:I
Last Name:SALCEDO
Suffix:
Gender:F
Credentials:MSW/LICSW/MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 15TH ST NW
Mailing Address - Street 2:APT. 301
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-4114
Mailing Address - Country:US
Mailing Address - Phone:917-710-4506
Mailing Address - Fax:
Practice Address - Street 1:5247 WISCONSIN AVE NW
Practice Address - Street 2:SUITE 2
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2012
Practice Address - Country:US
Practice Address - Phone:202-569-8281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500790871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical